| NPI | 1376539502 |
|---|---|
| Doing Business As | VIA CHRISTI CHANG FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAURIE A LABARCA COO 316-268-5161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QS0010X Family Medicine, Sports Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2012-04-20 |